CMS Price Transparency Data

X-ray, pelvis

Facility: Dupont Hospital LLC

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$164

about 1.5× the $107 Medicare rate · typically $76–$171

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Below the fair price — a good deal

about $53 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $164 This hospital $111 Cash price $130 Hospital's list price $466

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $111

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, pelvis is about $164 (about 1.5× the $107 Medicare rate). Dupont Hospital LLC charges insurers about $111, or about $130 in cash — below the fair price — a good deal. Located in Fort Wayne, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$54 - $384	51%
Blue Cross Blue Shieldmajor	$54 - $455	51%
Aetnamajor	$9 - $355	8%
Cignamajor	$8 - $288	7%
Humanamajor	$54 - $109	51%
CareSource	$54	51%
Devoted Health	$111	104%
Health Net	$20 - $715	19%
Medical Mutual	$13 - $421	12%
+ 18 smaller / regional plans	$6 - $715

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 130), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72170.

Insurance Before you use insurance

Call your insurance company to confirm Dupont Hospital LLC is in-network.
Ask your insurer whether prior approval is required for CPT code 72170.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Dupont Hospital LLC

Compare: X-ray, pelvis at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.